South County Nursing Home, Inc.

LBN: South County Nursing Home, Inc.
South County Nursing Home, Inc. is an health care organization with primary practice located at 1101 W Outer 21 Rd , Arnold MO 63010-4644. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Skilled Nursing Facility, Suppliers / Parenteral & Enteral Nutrition. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. South County Nursing Home, Inc. can be contacted via phone (636) 296-5455, or through Makhamreh, Sawsan via phone (636) 296-5455.

Contact Information

Primary practice address
1101 W Outer 21 Rd Arnold MO 63010-4644
Phone: (636) 296-5455
Fax: (636) 296-5086
Website:
Map and Directions
Authorized official contact:
Name: Makhamreh, Sawsan
Phone: (636) 296-5455

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 031860 Missouri
Suppliers / Parenteral & Enteral Nutrition 332BP3500X 44219300001 Missouri

Profile Details

NPI number 1649312745
LBN Legal business name South County Nursing Home, Inc.
DBA Doing business as
Authorized official Makhamreh, Sawsan
Entity Organization
Organization subpart 1 No
Enumeration date Feb 13th, 2007
Last updated Oct 21st, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1649312745 NPPES
Missouri MEDICAID 101451508

Popular Providers